Individual provider · Type 1 NPI
Randy Bloom, FNP-BC
Nurse Practitioner · Rancho Mirage, CA
Practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Fax (760) 773-2680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95012312 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1265086854
Randy Bloom, FNP-BC's National Provider Identifier is 1265086854, issued on Jul 31, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Jan 23, 2020.